Common side effects (5% or more of patients) Nausea Diarrhea Vomiting Constipation Abdominal pain Reduced appetite Indigestion or acid reflux Fatigue Mild injection site reactions (redness, itching, or bruising) Serious side effects (rare but require immediate medical attention) Pancreatitis: severe, persistent abdominal pain that may radiate to the back, often with nausea or vomiting Gallbladder problems: upper right abdominal pain, fever, jaundice, or unusual stool color Severe allergic reactions: rash, swelling of the face or throat, difficulty breathing Kidney issues: often related to dehydration from prolonged vomiting or diarrhea Diabetic retinopathy complications in patients with pre-existing diabetic eye disease (a known risk specific to rapid A1C reduction) Severe hypoglycemia when used in combination with insulin or sulfonylureas Increased heart rate at rest Boxed warning: Semaglutide caused thyroid C-cell tumors in animal studies
Qualifications Strength & Conditioning Coach (IQF Level 1), International Universities Strength and Conditioning Association (IUSCA) M.Sc Sport Biomechanics, Loughborough University, The United Kingdom Certified HYROX Coach, HYROX365 Cricket Performance Coach (Level 2), England and Wales Cricket Board (ECB) Registered Exercise Professional (Category A- Personal Trainer), REPS India Former Master Trainer Faculty, K11 Fitness Academy, India Expertise Technical and skill development through detailed biomechanical analysis Structured performance programming using an Assess, Analyse, Plan, Execute, Repeat framework, incorporating effective periodization and load management Preparation for Athletics, Fitness races and Hybrid events (e.g
European Journal of Nutrition , 54 (2), 251-263
Avoid caffeine and alcohol during active episodes
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